Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,897.79	Facility		$2,454.71	$2,454.71	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,168.69	Professional		$2,454.71	$2,454.71	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $3,090.30	Professional		$2,454.71	$2,511.89	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,897.79	Facility		$2,454.71	$2,884.03	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $10,715.19	Professional		$2,454.71	$2,691.53	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,162.28	Professional		$2,951.21	$2,951.21	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,691.53	Professional		$2,511.89	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $2,884.03	Professional		$2,454.71	$2,754.23	$2,884.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71